Individual provider · Type 1 NPI

Jennifer Mann, LCSW

Addiction (Substance Use Disorder) Counselor · Peoria, IL

NPI number 1942540109 Active

Practice location

1200 Hamilton Blvd
Peoria, IL 61606-1525

Fax (309) 589-7981

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X149015726 (IL)
Mental Health Counselor 101YM0800X149015726 (IL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1942540109

Jennifer Mann, LCSW's National Provider Identifier is 1942540109, issued on Feb 26, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Peoria, IL. The record was last updated on Feb 26, 2013.